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31B-084 (9) BP-2024-0165 77 HENSHAW AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-084-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2024-0165 PERMISSION IS HEREBY GRANTED TO: Project# BATH 2024 Contractor: License: Est. Cost: 42300 STEPHEN ROSS 079160 Const.Class: Exp.Date: 04/28/2025 Use Group: Owner: RUBAIYAT HOSSAIN SYEDA Lot Size (sq.ft.) Zoning: URC Applicant: STEPHEN ROSS Applicant Addrgn Phone: Insurance: 36 SERVICE CENTER RD (413)584-1224 NORTHAMPTON, MA 01060 ISSUED ON: 02/16/2024 TO PERFORM THE FOLLOWING WORK: BATH RENO POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring B.P.W. Building Inspector Underground: Service: Meter: Footings: Rough:3�a ✓� Rough: +20 House# Foundation: LA Final: a�--/� k -Final: /t- Final: Rough Frame: p(< 3 1 ( 2"l ay Gas: - Fire Department P21^* Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final:Qom, 8"/(a THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $275.00 212 Main Street,Phone(413)587-I240,Fax:(413)587-1272 Office of the Building Commissioner /- .5P(S1-4 t) Ave. Commonwealth of Massachusetts Official Use Only Permit No.: 2021i—C� lilf! ,� Department of Fire Services Occupancy and Fee Checked: 3 i,L rm " BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] - -' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: NORTHAMPTON Date: 2/1/2024 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 77 HENSHAW RD Unit No.: Owner or Tenant: Tower Electric(contractor)Jonathan Email: tower4power@comcast.net Owner's Address: Phone No.: 530-4343 Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No O Permit No.: Purpose of Building: residential Utility Authorization No.: Existing Service: Amps / Volts Overhead 0 Underground 0 No.of Meters: New Service: Amps / Volts Overhead 0 Underground❑ No.of Meters: Description of Proposed Electrical Installation: installation residential security/fire system proposed work attached Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System® No.of Devices: 18 Swimming Pool:In-Gmd.0 Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ® No.of Devices: 9 Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3,700.00 (When required by municipal policy) Date Work to Start: 2/15/24 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: Hackworth Systems LLC A-1 0 or C-1 m LIC.No.: 500C1 Master/Systems Licensee: Troy Hackworth LIC.No.: 286C Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: SS002458 Address: 83 College Hgwy Southampton, MA 01073 Email: fhackworth©hackworthsystems.net Telephone No.: 413-203-2212 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: Troy Hackworth Print Name: Troy Hackworth Cell.No.: 413-203-2212 INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE m BOND❑ OTHER❑ Specify: Utica National/5105381 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)Owner❑ Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: mac% _ v i •-v,i b e-j/-j 77 ( & /WE Commonwealth of Massachusetts Of ial Use Only Permit No.:L/• 2024 oZ — Jii; i� Department of Fire Services Occupancy and Fee Checked:{*'DDY `; ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] $6s APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: -`RAct,vt '-civ>, Date: 3//2. IZ4 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): '1-'-) Unit No.: Owner or Tenant: Email: Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes Er 1�0❑Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: 2s 113, r'` -t, \A Tr u. C 63)—K Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Gmd.0 Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: �f�c��p 6 k.„_c rx c1 L.C< A-1 C3'or C-1 0 LIC.No.: tk2.7- Master/Systems Licensee: LIC. No.: /4- lc3v7 Journeyman Licensee: LIC.No.: is -3(o42CQ(Q Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: S-95 1`} . k \4 �lJ� �� (AL)3cD Email: - r,��(s c c � � '�A AA Telephone No.: I certify,under t ains and penalties of perjury,that the information on this application is true and complete. Licensee:c Print Name: Cell.No.: ek 3 -S30.A 3 43 INSURAN • less waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE❑ BOND❑ OTHER❑ Specify: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement. I am the: (Check one)Owner❑ Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: \ji 1 J hr-5/-3 Ttz(1 hr, off- C di C k142l7(./ci qo MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK k•„„ 1in•!—qii i )� CITY Northampton MA DATE j 3.5.2024 PERMIT# PP-2O2)-I—00gy �i�i r JOBSITE ADDRESS l77 Henshaw Ave ,I OWNER'S NAME Hossain Residence POWNER ADDRESS same TE013-584-8974(Stephen FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ] EDUCATIONAL J RESIDENTIAL 0 PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES 1 FLOOR-' BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 1 CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM 1' DEDICATED WATER RECYCLE SYSTEM DISHWASHER • DRINKING FOUNTAIN FOOD DISPOSER I FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY 1 ROOF DRAIN SHOWER STALL 1 SERVICE I MOP SINK _ - — — TOILET 1 fLUvieTr +& i ::::-,i-:_-_-.:,--,l.'.7 _, URINAL ,;lr1 , t „u1 TON .I WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING / OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES ' NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY i OTHER TYPE OF INDEMNITY BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be i mpliance wit al Perti ent p jjov�i •on of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. � �C! f(4_ PLUMBER'S NAME GARY STAHELSKI 1LICENSE# 9621 ' SIGNATURE MP i JP CORPORATION( # 2617C ,PARTNERSHIP__.i#[ iLLC[]# I COMPANY NAME EWS PLUMBING&HEATING, INC. 1 ADDRESS[339 MAIN STREET { CITY MONSON i STATE L MA _..1 ZIP 01057 TEL 1413-267-8983 FAX [413-267-4523 CELL EMAIL EWSPH@COMCAST.NET i '`u'/ `►7- 9/-g